DR Carlos Colon, PSC

DR Carlos Colon, PSC was paid $162K by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.

33Billing provider infoDR CARLOS COLON, PSC
PONCE, PR 00717

33aNPI1801208558assigned 05/29/2014

33bProvider typeOrthopaedic Surgery Physician

28Total paid$162K

24GClaims2,948

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Puerto Rico

Rank by total paid#23 of 61

Median peer was paid$122K

This provider vs. median1.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	505	$8K
2019	205	$2K
2020	183	$7K
2021	279	$13K
2022	252	$13K
2023	712	$53K
2024incomplete	812	$65K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	75%	2,471	1,951	$122K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	24%	465	447	$39K
20610		<1%	12	12	$800.04

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialCOLON GOMEZ, CARLOS (DOCTOR)